Quality Improvement

The Perinatal Quality Improvement Panel (PQIP) is a permanent subcommittee with expertise in the area of quality improvement. PQIP analyzes CPQCC data and reviews current, relevant publications. Using this information, PQIP defines indicators and benchmarks, recommends quality improvement objectives, provides models for performance improvement, and assists providers in a multi-step transformation of data into improved patient care.

PQIP Purpose:


The Perinatal Quality Improvement Panel is accountable to the Executive Board for implementing its recommendations for Continuous Quality Improvement (CQI) objectives, improvement of CQI processes, and evaluation of progress. It implements Executive Board directives and policies relating to the CQI functions and recommends Statewide measures adopted by majority vote of participating hospitals.  The Panel serves as the major communications conduit between the participating hospitals and Collaborative leadership.

Functions and Responsibility:

1.   Develop an organization that supports the perinatal providers in their work of improving perinatal outcomes and effectiveness, including:

      a.   support innovations by the Collaborative in the information infrastructure with an integrated database that incorporates risk-adjustment methodologies that are credible and acceptable to the user community.

      b.   support the provision of data that inform and organize work through reports that measure the achievement of desired tasks; data quality monitoring; perinatal quality monitoring.

2.    Influence the guiding ideas of California’s perinatal care providers through:

      a.   promotion of understanding of the project’s purpose, scope and organization by way of presentations to involved parties (providers, business community, and public)

      b.   identification of motivations for participating

      c.   address confidentiality expectations and realities

      d.   promotion of understanding of the stakeholders’ interests

3.    Promote understanding of the strengths and limits of the project’s analytic methodologies

4.    Influence attitudes and beliefs about Collaborative and community-wide CQI

5.    Develop the social structures to support collaborative CQI

6.    Develop the communication infrastructure to support collaboration for CQI using Internet technology, which would include:

       a.   clinical content:  repository of alternative cares plans (AKA care maps, clinical pathways, and practice guidelines)

       b.   clinical commentary: repository of references to the evidence for clinical decision nodes such as Randomized Controlled Trials (RCTs), literature syntheses (Cochrane Reviews, professional society statements (AAP, AWHONN, etc.) published review articles), experiential reports (literature citations), clinicians’ judgments, and donated unit policies and procedures

        c.   clinical decision-making aids

        d.   training aids: facilitate access to provider generated training materials (lecture notes, syllabus, slides, computer-based training aids) by acting as a repository for donated materials

        e.   evaluation aids:  facilitate access to provider generated evaluation materials, e.g. competency tests, observation protocols, quality-monitoring tools

7.    Develop the CQI capabilities of collaborating perinatal centers through training and access to Collaborative resources, including:

       a.   Regional consultative teams

       b.   Provider teams both at hospitals and with anyone taking responsibility for a cohort of patients (such as medical groups, networks, and County health departments)

8.    Communicate recommendations regarding data quality, timelines, packaging and support needs to Executive Committee and other appropriate subcommittees (Public Release, Risk Adjustment, Data Collection)

9.    Define and comply with confidentiality standards and expectations

 


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